Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
lung disease comes ... from HRCT. ... lung disease and ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis Algorithm ... leaking out of pulmonary ... #ILD #Causes #Differential ... #Diagnosis #Algorithm
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... ILD caused by inhalation ... β€’ Idiopathic pulmonary ... lung disease (RB-ILD ... #causes
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis; HRCT ... tomography; UIP = usual interstitial ... #pneumonitis #pulmonary ... #diagnosis #algorithm ... #HP #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... at the lung bases ... HRCT demonstrated ... UIP #Reticular #Interstitial
ILD of Known Cause - Differential Diagnosis
Exposure:
 β€’ Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 β€’ Treatment Related:
ILD of Known Cause ... #Causes #Differential ... #Diagnosis #interstitial ... #lung #disease ... #pulmonary
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... bronchovascular interstitium ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... resolution of the HRCT ... lung disease (i.e ... in ground glass pattern ... Diagnosis #Radiology #Pulmonary
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung ... bases. ... The HRCT demonstrates ... #Pattern #Honeycombing